Pelvis - Lateral

Radiographic Positioning

Adult

Other related pages of interest Applied Radiography Radiographic Anatomy Radiographic Protocols

Name of projection	Pelvis - Lateral
Area Covered	Lateral view of lumbosacral junction, sacrum and coccyx and the superimposed pelvis and upper femora
Pathology shown
Radiographic Anatomy	Pelvis Radiographic Anatomy
IR Size & Orientation	35 x 43cm Portrait
Film / Screen Combination	Regular (CR and DR as recommended by manufacturer)
Bucky / Grid	Moving or Stationary Grid
Filter	No
Exposure	85 kVp 50 mAs
FFD / SID	100cm
Central Ray	CR perpendicular to IR CR directed to a point approximately 5cm above greater trochanter
Collimation	Four sides of collimation Shutter A - superior - to include L5 , Inferior to include upper femora Shutter B - collimate to soft tissue margins
Markers	Anterior and Distal Marker orientation AP
Shielding	Gonadal (check your department's policy guidelines)
Respiration	Suspended
Positioning	Lateral recumbent positioning patient in a lateral recumbent position on the table patients head on pillow extend thighs just enough to prevent femora from obscuring the shadow of the pubic arch place support under the lumbar spine and adjust so that vertebral column is parrallel with table top ensure pelvis in true lateral position with ASIS lying in the same plane CR perpendicular to IR CR directed to a point approximately 5cm above greater trochanter Supine positioning may be performed cross table using a horizontal ray with the patient supine (used when a suspected fracture dislocation of the acetabular rim and posterior dislocation of femoral head is suspected) patient supine on the table patients head on pillow CR perpendicular to IR (horizontal ray) CR directed to a point approximately 5cm above greater trochanter Erect positioning place patient in a lateral position against vertical bucky evenly distribute weight on both feet adjust position of body so the median sagittal plane is parrallel with the plane of the film CR perpendicular to IR CR directed to a point approximately 5cm above greater trochanter
Critique PACEMAN	Positioning Area Covered the following clearly demonstrated entire pelvis and proximal femora sacrum and coccyx superimposed posterior margins of the ischium and ilium superimposed femora superimposed acetabular shadows pubic arch unobscured by the femora Collimation Exposure
Special Notes